Organization
PBA ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARNIE E AKPAN (PROGRAM DIRECTOR)
(443) 708-4391
Entity
Organization
Contact information
Practice address
115 N MONROE ST, BALTIMORE, MD 21223-1641
(443) 708-4391
(443) 708-4436
Mailing address
115 N MONROE ST, BALTIMORE, MD 21223-1641
(443) 708-4391
(443) 708-4436
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
905143
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4226222400
—
MD
Enumeration date
10/20/2014
Last updated
10/20/2014
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